NPIMap

Organization Active NPI

Heritage Youth Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Spanish Fork, UT
National Provider Identifier
1306199120
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
HERITAGE YOUTH SERVICES
Practice address
31 E 1600 N
Spanish Fork, UT 84660-1011
Phone
(801) 798-9077
Fax
(801) 798-8949
NPI assigned
Oct 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Corbin Linde
Title
Owner
Phone
(801) 798-9077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

31 E 1600 N
Spanish Fork, UT 84660-1011

Mailing address

PO Box 117
Spanish Fork, UT 84660-0117
Phone (801) 798-9077

National Provider Directory

National Provider Directory
Tax ID family
Heritage Youth Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1306199120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846600117",
            "telephone_number": "801-798-9077",
            "fax_number": "801-798-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 E 1600 N",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601011",
            "telephone_number": "801-798-9077",
            "fax_number": "801-798-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "LINDE",
        "authorized_official_first_name": "CORBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-798-9077",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.